br12.3.2-career coaching application

Career Coaching Programme

Application

You should allow about 45 minutes to complete all 11 questions. As well as your needs and ambitions for the programme, you will also need to record the contact details (including any payment reference or code) of the person to whom the invoice for the programme should be sent. All information you supply will be treated in confidence.

Background Information

	Your Full Name

	Current Job Title

	Current Organisation

	Mobile:

Preferred Contact Points

	Address:

	Postcode:

	Email:

	Landline:

1.	How did you first hear about this Programme?

Which of the following career development experiences have you been engaged in during the last five years?

Career Coaching

Other Coaching

Career Seminar/Tutorial

Assessment Centre

Leadership Development Programme

Mentoring

Other (please specify below)

	Please outline the development opportunities below e.g. name, organisation, content and your learning

3.	Briefly describe the series of events that led to your decision to apply for this Programme?

4.	How do you best learn? What kind of techniques do you like to use?

Needs Assessment

5.	By the end of the coaching programme, how important is it that you ...
5.		very important	important	quite important	Not important at all
	have reviewed your career direction and choices?
	know how to recognise new career opportunities?
	have a plan to achieve your career goals?
	have fresh material for applications and interviews?
	are more able to manage the application process?
	have an up-to-date Curriculum Vitae?
	are more able to write applications for employment?
	are more able to tackle selection processes?
	are more confident and/or proficient at interviews?
	have a better home-work balance?
	are more motivated and engaged at work?

	List here anything else that is important for you to have achieved:

6.	Which of the following describe your current career priorities?
6.		Very important	important	quite important	not at all important	don't know/perhaps
	I need to know where I should go next in my career
	I want to change jobs
	I want to add new dimension to my career e.g. managerial, clinical, technical
	I want to advance in my current career further
	I want to change career direction
	I want to reach an executive position
	I want to plan for my retirement
	I want to change sectors
	I am at risk and need to plan my next move

	What other priorities you have for your career?

7.	What is your overall ambition or goal for this development programme?

8.	What are your expectations of your coach?

Prerequisites for Admission

9.	What information do you have available to send to Accomplice alongside your application
9.		I have submitted this	I will submit this	not available
	Most recent CV
	Current job description (and organisational structure)
	Most recent appraisal
	Personal Development Plan
	References
	360 Analysis e.g Leadership Qualities Feedback

	If known, what was your MBTI (Myers Briggs) type?

	If known, what were your Belbin Team Role Preferences?

10.	Outside the formal coaching sessions, how much time each week will you devote to career studies?

Fees

11.	To whom should the invoice for the fee be sent?

	Full Name

	Organisation (if relevant)

	Address

	Postcode

	Telephone

	Other reference information

Feedback on this Activity

	Provide any other Comments, Feedback and Advice below

On completion of this exercise, you are advised to print a copy for your records (Main Menu: File & Print).

Then, press 'submit' to send a copy to Accomplice.

br12_3_2 career coaching application